Mr. Kevin J Moyer-Wilkes, MED, NCC
Residential Treatment Facility, Emotionally Disturbed Children in Boylston, Massachusetts
1851639488- Practice location
- 1 Elmwood Pl, Boylston, MA 01505-2040
- Phone
- 508-869-0197
- Fax
- 508-869-0313
- Last updated
- January 16, 2013
Kevin James Moyer-Wilkes is a Residential Treatment Facility, Emotionally Disturbed Children based in Boylston, MA. Kevin James Moyer-Wilkes practices in Boylston, MA and has the professional credentials of MED, NCC. The NPI Number for Kevin James Moyer-Wilkes is 1851639488 and holds a License No. 463166 (MA). The current practice location address for Kevin James Moyer-Wilkes is 1 Elmwood Pl, Boylston, MA 01505-2040 and can be reached out via phone at 508-869-0197 and via fax at 508-869-0313.
Provider Profile Details
- NPI Number
- 1851639488
- Provider Name
- Kevin James Moyer-Wilkes
- Credential
- MED, NCC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Elmwood Pl, Boylston, MA 01505-2040
- Phone Number
- 508-869-0197
- Fax Number
- 508-869-0313
- Primary Taxonomy
- Residential Treatment Facility, Emotionally Disturbed Children · 322D00000X
- Sole Proprietor
- Yes
- Other Names
- Mr. Kevin James Wilkes, MED, NCC (Former Name)
- Provider Enumeration Date
- January 16, 2013
- Last Update Date
- January 16, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Elmwood Pl
Boylston, MA 01505-2040 - City
- Boylston
- State
- Massachusetts
- Zip
- 01505-2040
- Phone Number
- 508-869-0197
- Fax Number
- 508-869-0313
Provider Business Mailing Address Details
- Address
- 16 Saxon RD
Worcester, MA 01602-1522 - City
- Worcester
- State
- MA
- Zip
- 01602-1522
- Phone Number
- 508-869-0197
- Fax Number
- 508-869-0313
License Information
- License Number (1)
- 463166
- License State (1)
- MA
- Taxonomy (1)
- Counselor, School · 101YS0200X
- License Number (2)
- C062011002701
- License State (2)
- CT
- Taxonomy (2)
- Counselor, School · 101YS0200X
- License Number (3)
- 10606058
- License State (3)
- PA
- Taxonomy (3)
- Counselor, School · 101YS0200X
- License State (4)
- MA
- Taxonomy (4)
- Residential Treatment Facility, Emotionally Disturbed Children · 322D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Kevin J Moyer-Wilkes, MED, NCC?
The NPI number of Mr. Kevin J Moyer-Wilkes, MED, NCC is 1851639488. It was assigned on January 16, 2013 and is currently active in the NPPES registry.
What is the specialty of Mr. Kevin J Moyer-Wilkes, MED, NCC?
Mr. Kevin J Moyer-Wilkes, MED, NCC is registered under the primary taxonomy Residential Treatment Facility, Emotionally Disturbed Children (code 322D00000X), licensed in MA under license number 463166.
Where does Mr. Kevin J Moyer-Wilkes, MED, NCC practice?
The practice location is 1 Elmwood Pl, Boylston, MA 01505-2040. The office can be reached at 508-869-0197 (phone) or 508-869-0313 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851639488 directly on the NPPES registry website.